December 2, 2021
The Centers for Medicare & Medicaid Services (CMS) released new information regarding billing for COVID-19 vaccines.
- Effective January 1, 2022, Medicare Advantage plans are required to pay for the vaccine (if providers did not receive it for free) and its administration (including approved booster doses), without cost sharing to the member. In 2020 and 2021, payment
for the vaccine was made through original fee for service Medicare.
- The vaccine is covered under the Part B benefit, not Part D.
- When submitting a claim for a COVID-19 vaccine after January 1, include the code for the vaccine as well as the administration code.
Please note this billing change to avoid any billing errors. For more information about COVID-19 vaccine policies, see the CMS tool kits.